Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. HOLLY MULL TEITSMA PH.D.
NPI 1770768178
Psychologist - Clinical in Houston, TX

Q: What is Holly Teitsma's NPI number?

The NPI number for Holly Teitsma is 1770768178. It was assigned to this individual provider in the NPPES registry on January 3, 2008. The provider is also known as Dr. Holly Beth Mull Ph.D..

Q: What is Holly Teitsma's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Holly Teitsma was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 03, 2008PECOS Enrolled

16441 SPACE CENTER BLVD # C-100, HOUSTON, TX 77058(281) 480-7554(281) 480-4641 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 12, 2026, Jul 21, 2022, Jun 7, 2017 (3 updates tracked since 2017).

On this page

About Dr. Holly Mull Teitsma Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HOLLY MULL TEITSMA PH.D. (NPI 1770768178) is an individual clinical provider in Houston, Texas, licensed in Texas (34500) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1770768178

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. HOLLY MULL TEITSMACredential: PH.D.

Location Address16441 SPACE CENTER BLVD # C-100Houston, TX 77058-2015

Mailing Address16441 Space Center Blvd # C-100Houston, TX 77058-2015 · (281) 480-7554 · Fax (281) 480-4641

Phone(281) 480-7554

Fax(281) 480-4641

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJanuary 3, 2008

Last NPPES UpdateOctober 12, 20263 updates tracked since enumeration

NPPES CertifiedOctober 12, 2026

✔ NPI 1770768178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TX · 34500

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

16441 SPACE CENTER BLVD # C-100, Houston, TX 77058

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Other Names 1

Former Name (1)Dr. Holly Beth Mull Ph.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas, Community Health Choice and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Holly Mull Teitsma Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254628753

PECOS Enrollment IDI20160927002975

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Holly Teitsma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carole And Ronald Krist Samaritan Counseling Center

0.1 mi

Counseling

16441 SPACE CENTER BLVD # C-100
Houston, TX 77058

Reassigned Medicare billing, Texas enrollment
11 clinicians in this Medicare group

NPI 1689690083 (281) 480-7554

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77058 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$176.98 typical visit price

range $58.24 – $176.98

Typical copayment $44.24 (range $14.56 – $44.24)

Most-billed visit code 99205

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMIHA BOUTROS MA, LPC

Counselor (Professional)

16441 SPACE CENTER BLVD # C-100
HOUSTON, TX 77058

Harris County (281) 480-7554

CAROLE AND RONALD KRIST SAMARITAN COUNSELING CENTER

Psychologist (Counseling)

16441 SPACE CENTER BLVD # C-100
HOUSTON, TX 77058

Harris County (281) 480-7554

DR. JACKLIN G TAWADROUS PHD, LP

Psychologist

16441 SPACE CENTER BLVD # C-100
HOUSTON, TX 77058

Harris County (281) 480-7554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Teitsma's NPI number?

The NPI number for Holly Teitsma is 1770768178. It was assigned to this individual provider in the NPPES registry on January 3, 2008. The provider is also known as Dr. Holly Beth Mull Ph.D..

Where is Holly Teitsma located?

Holly Teitsma practices at 16441 Space Center Blvd # C-100, Houston, TX 77058. The listed phone number is (281) 480-7554.

What is Holly Teitsma's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Holly Teitsma enrolled in Medicare?

Yes. Holly Teitsma is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Holly Teitsma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Teitsma reassigns Medicare benefits to Carole And Ronald Krist Samaritan Counseling Center (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Teitsma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Teitsma accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Holly Teitsma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holly Teitsma was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.